Business Lines

Business Lines

Segments

Chronic Disease Education: The Key to Healthcare Organization Success

  •   Webinar
  •   3/24/2017
  •   Ginny Kenyon, RN, MN

Over the last 30 years CMS [Center for Medicaid Medicare] has warned the health care community that Medicare as it was constructed could not survive.  Because of this, there has been increased focus on service delivery options and an increasing emphasis on quality care of the chronic diseases that account for 80% of the expenses for health care insurers. 

One missing link seems to be adequate aide education or lack thereof.  To address this issue, Ginny Kenyon of Kenyon HomeCare Consulting presented this webinar on WHY healthcare organizations need to have Chronic Disease education at the heart of their strategic initiatives, and how they can access and implement this education to their staff and clinicians.

Details  

Episode 24: Michael McGowan of Operacare

  •   Podcast
  •   3/20/2017
  •   Tripp Matthews, Michael McGowan

In an episode that defines the name of the podcast, Michael McGowan of Operacare is our guest this week.  We learn about how Michael went from field nurse to OASIS expert, and how his new company, Operacare, is starting to take the industry by storm.

Michael shares his insights on how Regulators look at clinicial documentation versus how Providers view it, and then really discusses one of the root causes of the maelstrom of change in Home Health Care.

A fascinating and informational conversation to say the least.

Details  

Foundational OASIS Concepts

  •   Webinar
  •   3/10/2017
  •   Chad Whitefield, PTA

The purpose of this webinar is to provide insight into the importance of properly answering portions of the OASIS document that relate to key Medicare initiatives to justify homebound status and medical necessity, as well as providing agencies with training tools to assist in their orientation and training programs. The course will focus on current Medicare changes, the effect of proper scoring on case integrity, insight into training difficult associates, and the impact proper scoring has on the agency. The speaker will also introduce instruments and training tools that allow managers to collect and analyze key metrics as well as tools for use in training start of care clinicians. Course objectives include: 

  1. Understanding of new Medicare initiatives to include Pre-Claim Review and Value Based Purchasing
  2. Understand the effect of proper OASIS scoring on the agency
  3. Identify methods to track and evaluate SOC clinician’s performance
  4. Understand CMS’s intent in answering functional questions inside the OASIS
  5. Understand how to present clinical rational in training SOC clinicians

 

Details  

Episode 23: Nick Seabrook on Homecare 100 and HIMSS

  •   Podcast
  •   3/8/2017
  •   Tripp Matthews, Nick Seabrook

Nick Seabrook of BlackTree Healthcare Consulting returns for a discussion on two of the most important conferences in the healthcare industry.  He recounts the 100 conference in Florida, particularly what was on the minds of the leaders of the Homecare industry (hint:  Trump).

He also talks about his first visit to the HIMSS conference, the enormity of that show, and what the post-acute care space can learn from this conference.

We also get pretty candid about the current state of the Homecare "voice" in the legislative and policy landscape - and how our industry can improve their standing.

Details  

New Conditions of Participation for Home Health

  •   Webinar
  •   3/3/2017
  •   Sharon Litwin, RN, BSHS, MHA

 The new Conditions of Participation are here and become effective on July 13, 2017!  There are NEW Conditions – QAPI and Infection Control. There are also many changes to Patient Rights, Aide services, Coordination of Care, Emergency Preparedness, and more!  Sharon Litwin of 5 Star Consultants led this education session.  Her focus is on the key changes and principles of the new Conditions of Participation, highlighting: 

  • The COPs Focuses on a Patient- Centered, Data-driven, Outcome oriented process that promotes high quality patient care at all times for all patients.
  • Continuous, integrated care process across all services, based on patient centered assessment, care planning, service delivery and quality assessment / performance improvement.
  • Interdisciplinary approach recognizing skills of all of the team- think Case Management!

 

Details  

Why your claims are being denied: Separating the Myths and Facts

  •   Webinar
  •   1/20/2017
  •   Michael McGowan

Michael McGowan of Operacare delivers this education on understanding why your claims are being denied.  CMS states more than 50% of home health claims are billed in error. Ninety-five percent of Home Health Agencies routinely submit data and claims that cannot be defended during medical review.  Yet after spending thousands of dollars on Quality Assurance activities each month, most HHA’s still don’t know why their claims are being denied. 

Claiming your patients are sicker than other agencies around you; 40-50% of you are at risk for insolvency, audits, and failure in the forthcoming payment models.  Value-based payment models, 5-star ratings, and Pre-Claim reviews are all impacted by this myth and lack of understanding of the data available to Home Health Agencies.

Details